Provider Demographics
NPI:1508327628
Name:A & B COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:A & B COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BLENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-533-2306
Mailing Address - Street 1:3356 LAUREL OAK ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6396
Mailing Address - Country:US
Mailing Address - Phone:305-608-9534
Mailing Address - Fax:954-965-4532
Practice Address - Street 1:3356 LAUREL OAK ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6396
Practice Address - Country:US
Practice Address - Phone:305-608-9534
Practice Address - Fax:954-965-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health